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Rehabilitation of chronic whiplash: treatment of cervical dysfunctions or chronic pain syndrome?

Rehabilitation of chronic whiplash: treatment of cervical dysfunctions or chronic pain syndrome?,10.1007/s10067-008-1083-x,Clinical Rheumatology,Jo Ni

Rehabilitation of chronic whiplash: treatment of cervical dysfunctions or chronic pain syndrome?   (Citations: 5)
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Chronic whiplash-associated disorders (WAD) remains a challenging condition for clinicians. There is substantial evidence for the presence of various cervical dysfunctions (e.g., increased cervical muscle tone and impaired cervical movement control), but their contribution to the complex clinical picture of subjects with chronic WAD seems rather limited. There is consistent evidence for increased responsiveness of the central nervous system in those with chronic WAD, and central pain processing is likely to play a crucial role in the transition from an acute whiplash trauma towards chronic WAD. The manuscript explains how our current understanding of chronic WAD can be used to steer the content of conservative interventions and how treatment of cervical dysfunctions in patients with chronic WAD should account for the processes involved in chronicity. It is recommended to prevent sensorimotor incongruence, target cognitive–emotional sensitization, and apply a cognitive behavioral therapy-guided exercise program.
Journal: Clinical Rheumatology - CLIN RHEUMATOL , vol. 28, no. 3, pp. 243-251, 2009
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    • ...There is a growing international awareness that whiplash represents a biopsychosocial problem [1, 9, 15, 18], and hence, the biopsychosocial model should be applied in research and clinical settings...
    • ...In order to comply with the biopsychosocial model as generally used for the assessment and treatment of patients with WAD [9, 18], long-term functioning was expressed in terms of disability, functional status, quality of life and psychological well-being...
    • ...It is tempting to speculate that social support and personality play a role in cognitive emotional sensitization as typically seen in patients with chronic WAD [18], but the present investigation was not designed to study that interaction...

    Jo Nijset al. Long-term functioning following whiplash injury: the role of social su...

    • ...If there are any abnormalities in muscles or spine, the patient will not be able to perfectly follow the drawn path [3,4]...

    Ritter Robertet al. Innovative diagnostics and monitoring method of rehabilitation of pati...

    • ...There is a growing international awareness that chronic WAD represents a biopsychosocial problem [1, 8, 12], including biological (e.g., hypersensitivity of the central nervous system [11, 12]), psychological (e.g., pain catastrophizing [8, 9]), and social factors (e.g., social support [2])...
    • ...There is a growing international awareness that chronic WAD represents a biopsychosocial problem [1, 8, 12], including biological (e.g., hypersensitivity of the central nervous system [11, 12]), psychological (e.g., pain catastrophizing [8, 9]), and social factors (e.g., social support [2])...

    Jo Nijset al. Recruitment bias in chronic pain research: whiplash as a model

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